Factors Related to Perceived Stigma in Parents of Children and Adolescents in Outpatient Mental Healthcare
Bibliographic Data
| ID | 15480952 |
|---|---|
| Authors | Halewijn M Drent (0000-0001-5127-3357, University Medical Center Groningen), Barbara J van den Hoofdakker (0000-0001-9570-9976, University Medical Center Groningen), Jan Buitelaar (0000-0001-8288-7757, Radboud University Nijmegen), Pieter J Hoekstra (0000-0003-1018-9954, University Medical Center Groningen), Andrea Dietrich (0000-0002-2538-6136, University Medical Center Groningen, corresponding author) |
| Year | 2022 |
| Volume | 19 |
| Issue | 19 |
| Pages | 12767-12767 |
| Publication date | 2022-10-06 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph191912767 |
| PMID | 36232067 |
| OpenAlex | W4303696378 |
| Language | EN |
| Citations received | 3 |
| References cited | 64 |
Little is known about factors contributing to perceived stigma in parents of children and adolescents with behavioral and emotional problems in outpatient mental healthcare. We aimed to identify the most relevant factors related to perceived parental stigma using least absolute shrinkage and selection operator (LASSO) regression including a broad range of factors across six domains: (1) child characteristics, (2) characteristics of the primary parent, (3) parenting and family characteristics, (4) treatment-related characteristics, (5) sociodemographic characteristics, and (6) social-environmental characteristics. We adapted the Parents' Perceived Stigma of Service Seeking scale to measure perceived public stigma and affiliate stigma in 312 parents (87.8% mothers) during the first treatment year after referral to an outpatient child and adolescent clinic. We found that the six domains, including 45 individual factors, explained 34.0% of perceived public stigma and 19.7% of affiliate stigma. Child and social-environmental characteristics (social relations) explained the most deviance in public stigma, followed by parental factors. The strongest factors were more severe problems of the child (especially callous-unemotional traits and internalizing problems), mental healthcare use of the parent, and lower perceived parenting competence. The only relevant factor for affiliate stigma was lower perceived parenting competence. Our study points to the multifactorial nature of perceived stigma and supports that parents' perceived public stigma is susceptible to social influences, while affiliate stigma relates to parents' self-evaluation. Increasing parents' perceived parenting competence may help mitigate perceived stigma. Future studies should explore how stigma relates to treatment outcomes
Developmental psychology · Mental health · Psychiatry · Stigma (botany · Child and Adolescent Psychosocial and Emotional Development · Clinical Psychology · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Mental Health Treatment and Access · Psychology
Regularization and Variable Selection Via the Elastic Net
Mental illness stigma
The stigmatization of mental illness in children and parents
Psychometric Properties of the Alabama Parenting Questionnaire
Is stigma internalized? The longitudinal impact of public stigma on self-stigma.
Public Knowledge and Assessment of Child Mental Health Problems
The World Health Organization adult ADHD self-report scale (ASRS)
Affiliate Stigma Among Caregivers of People with Intellectual Disability or Mental Illness
The Impact of Mental Illness Stigma on Seeking and Participating in Mental Health Care
What do parents perceive are the barriers and facilitators to accessing psychological treatment for mental health problems in children and adolescents? A systematic review of qualitative and quantitative studies
Assessment of parenting practices in families of elementary school-age children
Inventory of Callous–Unemotional Traits
Regularization Paths for Generalized Linear Models via Coordinate Descent
A Measure of Parenting Satisfaction and Efficacy
The Strengths and Difficulties Questionnaire
Regression Shrinkage and Selection Via the Lasso
Affiliate Stigma and Related Factors in Family Caregivers of Children with Attention-Deficit/Hyperactivity Disorder
Affiliate Stigma in Caregivers of Children with Attention-Deficit/Hyperactivity Disorder
The Parents’ Self-Stigma Scale
A Parenting Competency Model
Parent-reported stigma and child anxiety
Performance of a Five-Item Mental Health Screening Test
Linking parents’ self-stigma to the adjustment of children with disabilities
A standard international socio-economic index of occupational status
Neighborhood Social Capital as Differential Social Organization
Health of parents of individuals with developmental disorders or mental health problems
Internalization of stigma for parents of children with autism spectrum disorder in Hong Kong
The Parental Stress Scale
Perceptions of stigma
| Unique citing works | 3 |
|---|---|
| Citations per year | 1 |
| Citation span | 2023 - 2026 (4) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 3 |